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The Japan pulmonary arterial hypertension drugs market was valued at USD 509.66 Million in 2025 and is expected to grow at a CAGR of 4.70%, reaching USD 806.77 Million by 2035. The market growth benefits from a well-established healthcare infrastructure and rising incidence of pulmonary arterial hypertension among the aging population. Improved diagnostic capabilities and patient access to targeted therapies, coupled with supportive regulatory frameworks, are enhancing treatment uptake. Continued investment in innovative drugs and combination therapies is anticipated to expand market value over the forecast period.
Base Year
Historical Period
Forecast Period
The market is driven by the rising prevalence of the disease, advancements in targeted pharmacological therapies, and increasing healthcare expenditure.
The trends in the market include the growing adoption of combination treatment regimens, the shift toward personalized medicine, and the integration of digital health solutions in patient management.
Leading industry participants contribute to market expansion through sustained research and development initiatives, strategic partnerships, and continuous innovation to enhance therapeutic efficacy and patient outcomes.
Compound Annual Growth Rate
4.7%
Value in USD Million
2026-2035
*this image is indicative*
Pulmonary arterial hypertension drugs are specialized medications designed to enhance patient outcomes by alleviating vascular resistance and improving overall cardiopulmonary health. The Japan pulmonary arterial hypertension drugs market benefits from an aging population, early diagnosis programs, and advancements in drug formulations. The market is poised to grow at a CAGR of 4.70% during the forecast period of 2026-2035, driven by high adoption of novel combination therapies and the expansion of specialty care facilities. Continuous innovation by domestic and global pharmaceutical companies is expected to strengthen the treatment portfolio and improve long-term patient survival.
High Disease Prevalence to Drive the Market Expansion
The high prevalence of pulmonary arterial hypertension (PAH) and chronic thromboembolic pulmonary hypertension (CTEPH) is a key driver of the market. According to Noriko Murakami et al., 2025, despite substantial advancements in pharmacotherapy and invasive procedures that have improved clinical outcomes, an estimated 4,500 individuals with PAH and 5,200 with CTEPH were living with these conditions in Japan as of 2022. This sustained patient base, combined with continuous therapeutic innovation, is expected to drive steady market growth in the coming years.
The market is experiencing notable trends, including increased regulatory emphasis on multi-regional trials and a growing focus on early diagnosis alongside enhanced patient support systems.
Surge in Clinical Trials Set to Boost Pulmonary Arterial Hypertension Drugs Market Growth in Japan
The market is witnessing a growing trend toward early regulatory guidance and strategic trial designs aimed at expediting innovative therapy development. In January 2025, the Pharmaceuticals and Medical Devices Agency (PMDA) emphasized the importance of multi-regional clinical trial participation, pediatric treatment planning, and the alignment of efficacy endpoints with global standards. This proactive approach is expected to accelerate the approval of advanced therapies, address unmet clinical needs, and ultimately enhance the growth potential of Japan’s PAH drugs market in the coming years.
Increasing Emphasis on Early Diagnosis and Patient Support Systems Likely to Enhance Market Growth
In Japan, increasing emphasis on addressing diagnostic delays and improving patient support for pulmonary arterial hypertension (PAH) is emerging as a key market trend. A nationwide survey published in March 2025 highlighted significant challenges, including prolonged diagnosis timelines, reduced employment rates, and communication gaps between patients and physicians. These findings are prompting healthcare providers and policymakers to strengthen early detection strategies, enhance multidisciplinary care, and expand patient education programs. Such initiatives are expected to improve treatment outcomes and drive sustained growth in the Japan PAH drugs market.
Oral Route of Administration to Lead the Market Share
There are various types of routes of administration for pulmonary arterial hypertension (PAH) drugs, including oral, parenteral, and others. Among these, the oral route is expected to lead the market due to its convenience, non-invasive nature, and growing availability of advanced therapies such as endothelin receptor antagonists, phosphodiesterase-5 inhibitors, and oral prostacyclin pathway drugs. For instance, in March 2025, Nippon Shinyaku launched Uptravi® tablets (0.05 mg) in Japan for pediatric PAH, offering an oral prostacyclin pathway option that enhances patient compliance compared to injectable formulations. While parenteral drugs remain critical for severe cases and other routes cater to specific needs, the oral route is projected to dominate, supported by continuous innovation and improved treatment accessibility.
The key features of the market report comprise clinical trials analysis, funding and investment analysis, and strategic initiatives by the leading players. The major companies in the market are as follows:
Bayer is a global pharmaceutical company with a strong presence in cardiovascular and rare disease therapies. In Japan, Bayer’s PAH involvement is anchored by riociguat (brand name Adempas), a soluble guanylate cyclase stimulator it developed, which has received regulatory approval for treatment of pulmonary arterial hypertension. Through this, Bayer provides clinicians in Japan a non-prostanoid, orally-administered treatment option for PAH, supplementing existing drug classes. Its work also includes collaboration on sGC path mechanisms, positioning Bayer as a key innovator in Japan’s PAH therapeutic landscape.
Viatris is a global healthcare company focused on making medicines more accessible, including generics, biosimilars and branded specialty products. Its Japanese operations include generics and long-listed product portfolios rather than leading in novel PAH-specific drugs. Thus, its involvement in the Japan PAH drugs market is likely via supplying generics or off-patent therapies that treat PAH, rather than being an innovator of new PAH agents.
Teva is globally known for generics and off-patent medicines. In Japan it has operated generics businesses (including via joint ventures) and legacy product lines. Teva’s role in Japan’s PAH drug market is more likely in providing generic versions of supportive medications (where patent expiry allows), or off-patent treatments supplementary to primary therapy, rather than as originator of novel PAH drugs.
Eli Lilly is a pioneer in several therapeutic areas, including vascular disease. It developed tadalafil (originally known for erectile dysfunction) and studied it in PAH; Lilly has licensed the U.S. commercialization rights of tadalafil for PAH to United Therapeutics and is involved in global regulatory filings for PAH indication, including in Japan. This means that in Japan, patients access tadalafil for PAH as it moves through or has obtained regulatory approval. Lilly’s role thus is as innovator or original developer of drugs with PAH indications, rather than generics.
*Please note that this is only a partial list; the complete list of key players is available in the full report. Additionally, the list of key players can be customized to better suit your needs.*
Other key players in the market include GSK plc, Pfizer Inc., Amgen Inc., and Novartis AG, among others.
The market report offers a detailed analysis of the market based on the following segments:
Market Breakup by Drug Class
Market Breakup by Route of Administration
Market Breakup by Type
Market Breakup by Distribution Channel
*While we strive to always give you current and accurate information, the numbers depicted on the website are indicative and may differ from the actual numbers in the main report. At Expert Market Research, we aim to bring you the latest insights and trends in the market. Using our analyses and forecasts, stakeholders can understand the market dynamics, navigate challenges, and capitalize on opportunities to make data-driven strategic decisions.*
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| REPORT FEATURES | DETAILS |
| Base Year | 2025 |
| Historical Period | 2019-2025 |
| Forecast Period | 2026-2035 |
| Scope of the Report |
Historical and Forecast Trends, Industry Drivers and Constraints, Historical and Forecast Market Analysis by Segment:
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| Breakup by Drug Class |
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| Breakup by Route of Administration |
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| Breakup by Type |
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| Breakup by Distribution Channel |
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| Market Dynamics |
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| Supplier Landscape |
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| Companies Covered |
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